Individual
SUN J PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(800) 813-2000
Mailing address
500 NE MULTNOMAH ST STE 100, PORTLAND, OR 97232-2031
(800) 813-2000
(855) 524-5255
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD24792
OR
208M00000X
Hospitalist Physician
MD24792
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00234134
RR MEDICARE
OR
Enumeration date
07/17/2006
Last updated
09/12/2025
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